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<?php $__env->startSection('title','Application Form'); ?>
<?php $__env->startSection('main_container'); ?>
      <!-- partial -->
      <div class="main-panel ">
        <div class="content-wrapper">
          <div class="page-header">
            <h3 class="page-title">
                Application Form
            </h3>
            <nav aria-label="breadcrumb">
                <ol class="breadcrumb">
                <li class="breadcrumb-item"><a href="#">Home</a></li>
                <li class="breadcrumb-item active" aria-current="page">Document</li>
                </ol>
            </nav>
          </div>
          <div class="row">
            <div class="col-12 grid-margin">
              <div class="card">
                <div class="card-body">
                  <h4 class="card-title text-right">
                  <form action="<?php echo e(route('form.status', $organization->form_id)); ?>" method="post">
                      <?php echo csrf_field(); ?>
                    Status :
                    <select name="status">
                        <option value="">Select Status</option>
                        <?php
                          if($organization->status=='Approved')
                          {
                          ?>
                        <option value="Approved"  selected>Approved</option>
                        <option value="Action required" >Action required</option>
                        <option value="Re-apply" >Re-apply</option>
                        <option value="Pending" >Pending</option>
                        <?php
                          }
                          elseif($organization->status=='Action required')
                          {
                        ?>
                        <option value="Action required"  selected>Action required</option>
                        <option value="Approved" >Approved </option>
                        <option value="Re-apply" >Re-apply</option>
                        <option value="Pending" >Pending</option>
                        <?php
                          }
                          elseif($organization->status=='Re-apply')
                          {
                        ?>
                        <option value="Re-apply"  selected >Re-apply </option>
                        <option value="Action required" >Action required</option>
                        <option value="Approved" >Approved</option>
                        <option value="Pending" >Pending</option>
                        <?php
                          }else
                          {
                        ?>
                        <option value="Re-apply"   >Re-apply </option>
                        <option value="Action required" >Action required</option>
                        <option value="Approved" >Approved</option>
                        <option value="Pending" selected>Pending</option>
                        <?php
                          }
                        ?>
                    </select>
                    <button class="btn-primary btn-xs" name="submit" value="Send">Submit</button>
                  </form>
                  </h4>
                  <form id="example-form" action="#">
                    <div >
                      <h3>Organization</h3>
                      <section >
                          <h4>Organization Information</h4>
                          <div class="form-group">
                            <label>Name of Applicant</label>
                            <input type="text" class="form-control" aria-describedby="emailHelp" name="name_of_applicant" value="<?php echo $organization->name_of_applicant ?>" readonly>
                          </div>
                          <div class="form-group">
                              <label for="contact">Contact Number <span style="color:red;">*</span></p></label>
                              <input type="tel" class="form-control" aria-describedby="emailHelp"  id="contact" name="contact" value="<?php echo e($organization->contact); ?>" readonly>
                              <span class="text-danger" id="contactErrorMsg"></span>
                          </div>
                          <div class="form-group">
                              <label for="email">Email Address <span style="color:red;">*</span></p></label>
                              <input type="email" class="form-control" aria-describedby="emailHelp"  id="email" name="email" value="<?php echo e($organization->email); ?>" readonly>
                              <span class="text-danger" id="emailErrorMsg"></span>
                          </div>
                          <div class="form-group">
                              <label for="communicate_mode">Your preferred mode of communication <span style="color:red;">*</span></p></label>
                              <input type="text" class="form-control" aria-describedby="emailHelp"  id="communicate_mode" name="communicate_mode" readonly value="<?php echo e($organization->communicate_mode); ?>">
                              <span class="text-danger" id="communicate_modeErrorMsg"></span>
                          </div>
                          <div class="form-group">
                              <label for="organisation_name">Organisation name <span style="color:red;">*</span></p></label>
                              <input type="text" class="form-control" aria-describedby="emailHelp"  id="organisation_name" name="organisation_name" readonly  value="<?php echo e($organization->organisation_name); ?>">
                              <span class="text-danger" id="organisation_nameErrorMsg"></span>
                          </div>
                          <div class="form-group">
                            <label>Name of Director / Chairman of the Organization</label>
                            <input type="text" class="form-control" aria-describedby="emailHelp" name="name_director" value="<?php echo $organization->name_director ?>" readonly>
                          </div>
                          <div class="form-group">
                            <label>Nature of Organization (Pvt Ltd./Public Ltd/ Partnership Firm)</label>
                            <input type="text" class="form-control" name="nature_organization" value="<?php echo $organization->nature_organization ?>" readonly>
                          </div>
                          <div class="form-group">
                            <label>Website Address</label>
                            <input type="text" class="form-control" name="website_address" value="<?php echo $organization->website_address ?>" readonly>
                          </div>
                          <div class="form-group">
                            <label>Date of Establishment of Organization</label>
                            <input type="text" class="form-control" name="establishment_date" value="<?php echo $organization->establishment_date ?>" readonly>
                          </div>
                          <div class="form-group">
                            <label>Total no. of Employees as on Date of Application </label>
                            <input type="text" class="form-control" name="total_employees" value="<?php echo $organization->total_employees ?>" readonly>
                          </div>
                          <div class="form-group">
                            <label>Details of Current Business Activities of The Organization</label>
                            <textarea class="form-control" name="current_business_detail" rows="5" readonly><?php echo $organization->current_business_detail ?></textarea>
                          </div>
                          <div class="form-group">
                            <label>Legal Registration Details of Organization</label>
                            <textarea class="form-control" name="legal_registration_detail" rows="5" readonly><?php echo $organization->legal_registration_detail ?></textarea>
                          </div>
                          <div class="form-group">
                            <label for="address">Organisation address <span style="color:red">*</span></p></label>
                            <textarea class="form-control" name="address"  id="address" readonly><?php echo e($organization->address); ?></textarea>
                            <span class="text-danger" id="addressErrorMsg"></span>
                        </div>
                        <div class="form-group">
                            <label for="quali_interest">IIMT Studies Qualifications you are interested to deliver <span style="color:red">*</span></p></label>
                            <textarea class="form-control" name="quali_interest"  id="quali_interest" readonly><?php echo e($organization->quali_interest); ?></textarea>
                            <span class="text-danger" id="quali_interestErrorMsg"></span>
                        </div>
                        <div class="form-group">
                            <label for="delivery_date">Approximate date to start the delivery <span style="color:red">*</span></p></label>
                            <input type="date" min="<?php echo date("Y-m-d"); ?>" class="form-control" name="delivery_date" id="delivery_date" readonly value="<?php echo e($organization->delivery_date); ?>" >
                            <span class="text-danger" id="delivery_dateErrorMsg"></span>
                        </div>
                      </section>
                      <h3>Establishment</h3>
                      <section >
                        <h4>Establishment Information</h4>
                        <div class="form-group">
                          <label>Head Office / Admin. address</label>
                          <textarea class="form-control" name="office_address" readonly><?php echo $establishment->office_address ?></textarea>
                        </div>
                        <div class="form-group">
                          <label>Details of other branch locations</label>
                          <textarea class="form-control" name="other_branch_location" readonly><?php echo $establishment->other_branch_location ?></textarea>
                        </div>
                        <div class="col-12 row" style="min-width: 600px;">
                          <div class="col-3 ">
                            <div class="form-group">
                              <label>Type of Service Provided</label>
                              <input type="text" class="form-control" name="types_of_service" value="<?php echo $establishment->types_of_service_1 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="types_of_service_2" value="<?php echo $establishment->types_of_service_2 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="types_of_service_3" value="<?php echo $establishment->types_of_service_3 ?>" readonly>
                            </div>
                          </div>
                          <div class="col-3 ">
                            <div class="form-group">
                              <label>Service Details </label>
                              <input type="text" class="form-control" name="service_details" value="<?php echo $establishment->service_details_1 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="service_details_2" value="<?php echo $establishment->service_details_2 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="service_details_3" value="<?php echo $establishment->service_details_3 ?>" readonly>
                            </div>
                          </div>
                          <div class="col-3 ">
                            <div class="form-group">
                              <label>Product Details</label>
                              <input type="text" class="form-control" name="product_details" value="<?php echo $establishment->product_details_1 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="product_details_2" value="<?php echo $establishment->product_details_2 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="product_details_3" value="<?php echo $establishment->product_details_3 ?>" readonly>
                            </div>
                          </div>
                          <div class="col-3 ">
                            <div class="form-group">
                              <label>Client Data </label>
                              <input type="text" class="form-control" name="client_data" value="<?php echo $establishment->client_data_1 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="client_data_2" value="<?php echo $establishment->client_data_2 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="client_data_3" value="<?php echo $establishment->client_data_3 ?>" readonly>
                            </div>
                          </div>
                        </div>
                      </section>
                      <h3>Financial</h3>
                      <section >
                        <h4>Financial Resource Data of last 3 years (in INR Lac)</h4><br>
                        <div class="col-12 row" style="min-width: 600px;">
                          <div class="col-4">
                            <div class="form-group">
                              <label>Year</label>
                              <input type="text" class="form-control" name="year_1" value="<?php echo $financial->year_1 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="year_2" value="<?php echo $financial->year_2 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="year_3" value="<?php echo $financial->year_3 ?>" readonly>
                            </div>
                          </div>
                          <div class="col-2">
                            <div class="form-group">
                              <label>Revenue Earned</label>
                              <input type="text" class="form-control" name="revenue_1" value="<?php echo $financial->revenue_1 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="revenue_2" value="<?php echo $financial->revenue_2 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="revenue_3" value="<?php echo $financial->revenue_3 ?>" readonly>
                            </div>
                          </div>
                          <div class="col-2">
                            <div class="form-group">
                              <label>Gross Profit </label>
                              <input type="text" class="form-control" name="gross_1" value="<?php echo $financial->gross_1 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="gross_2" value="<?php echo $financial->gross_2 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="gross_3" value="<?php echo $financial->gross_3 ?>" readonly>
                            </div>
                          </div>
                          <div class="col-2">
                            <div class="form-group">
                              <label>Net Profit / Loss </label>
                              <input type="text" class="form-control" name="net_profit_1" value="<?php echo $financial->net_profit_1 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="net_profit_2" value="<?php echo $financial->net_profit_2 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="net_profit_3" value="<?php echo $financial->net_profit_3 ?>" readonly>
                            </div>
                          </div>
                          <div class="col-2">
                            <div class="form-group">
                              <label>Remarks if any </label>
                              <input type="text" class="form-control" name="remarks_1" value="<?php echo $financial->remarks_1 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="remarks_2" value="<?php echo $financial->remarks_2 ?>" readonly>
                            </div>
                            <div class="form-group">
                              <input type="text" class="form-control" name="remarks_3" value="<?php echo $financial->remarks_3 ?>" readonly>
                            </div>
                          </div>
                        </div>
                      </section>
                      <h3>Statutory</h3>
                      <section >
                        <h4>Statutory Compliance</h4>
                          <div class="form-group">
                            <label>Statutory Compliance Declaration </label>
                            <input type="text" class="form-control" value="Are your financial records audited by independent auditor for last 3 years?" readonly>
                          </div>
                          <div class="col-12 row" style="min-width: 600px;">
                            <div class="col-4">
                              <div class="form-group">
                                <label>Yes/No </label>
                                <input type="text" class="form-control" name="financial_rescords_confirmation" value="<?php echo $statutory->q1_confirmation ?>" readonly>
                              </div>
                            </div>
                            <div class="col-4">
                              <div class="form-group">
                                <label>Please give justification</label>
                                <input type="text" class="form-control" name="financial_records_justification" value="<?php echo $statutory->q1_justification ?>" readonly>
                              </div>
                            </div>
                          </div>
                          <div class="form-group">
                            <input type="text" class="form-control" value="Are there any adverse remarks by auditors in the 3 year’s P &amp; L Accounts?" readonly>
                          </div>
                          <div class="col-12 row" style="min-width: 600px;">
                            <div class="col-4">
                              <div class="form-group">
                                <label>Yes/No </label>
                                <input type="text" class="form-control" name="adverse_remarks_confirmation" value="<?php echo $statutory->q2_confirmation ?>" readonly>
                              </div>
                            </div>
                            <div class="col-4">
                              <div class="form-group">
                                <label>Please give justification</label>
                                <input type="text" class="form-control" name="adverse_remarks_justification" value="<?php echo $statutory->q2_justification ?>" readonly>
                              </div>
                            </div>
                          </div>
                          <div class="form-group">
                              <input type="text" class="form-control" value="Has your organization / directors received any notice regarding any non-compliance under any applicable law in the last 3 Years?" readonly>
                          </div>
                          <div class="col-12 row" style="min-width: 600px;">
                            <div class="col-4">
                              <div class="form-group">
                                <label>N/A </label>
                                <input type="text" class="form-control" name="q3_not_applicable" placeholder="N/A" value="<?php echo $statutory->q3_not_applicable ?>" readonly>
                              </div>
                            </div>
                            <div class="col-4">
                              <div class="form-group">
                                <label>Yes/No </label>
                                <input type="text" class="form-control" name="notice_confirmation" value="<?php echo $statutory->q3_confirmation ?>" readonly>
                              </div>
                            </div>
                            <div class="col-4">
                              <div class="form-group">
                                <label>Please give justification</label>
                                <input type="text" class="form-control" name="notice_justification" value="<?php echo $statutory->q3_justification ?>" readonly>
                              </div>
                            </div>
                          </div>
                          <div class="form-group">
                              <input type="text" class="form-control" value="Has your organization/directors been prosecuted under any law in the last 3 financial years?" readonly>
                          </div>
                          <div class="col-12 row" style="min-width: 600px;">
                            <div class="col-4">
                              <div class="form-group">
                                <label>N/A </label>
                                <input type="text" class="form-control" name="q4_not_applicable" placeholder="N/A" value="<?php echo $statutory->q4_not_applicable ?>" readonly>
                              </div>
                            </div>
                            <div class="col-4">
                              <div class="form-group">
                                <label>Yes/No </label>
                                <input type="text" class="form-control" name="prosecuted_confirmation" value="<?php echo $statutory->q4_confirmation ?>" readonly>
                              </div>
                            </div>
                            <div class="col-4">
                              <div class="form-group">
                                <label>Please give justification</label>
                                <input type="text" class="form-control" name="prosecuted_justification" value="<?php echo $statutory->q4_justification ?>" readonly>
                              </div>
                            </div>
                          </div>
                      </section>
                      <h3>Other Resource</h3>
                      <section >
                        <h4>Other Resources</h4><br>
                        <div class="col-12 row" style="min-width: 600px;">
                          <div class="col-4">
                          </div>
                          <div class="col-4">
                            <div class="form-group">
                              <h5>Head Office – Corporate Office</h5>
                            </div>
                          </div>
                          <div class="col-4">
                            <div class="form-group">
                              <h5>Branch Offices</h5>
                            </div>
                          </div>
                        </div>
                        <div class="col-12 row" style="min-width: 600px;">
                          <div class="col-4">
                            <div class="form-group">
                              <h5>Status (Leased/Owned)</h5>
                            </div>
                          </div>
                          <div class="col-4">
                            <div class="form-group">
                              <input type="text" class="form-control" name="head_status" value="<?php echo $resource->head_status ?>" readonly>
                            </div>
                          </div>
                          <div class="col-4">
                            <div class="form-group">
                              <input type="text" class="form-control" name="branch_status" value="<?php echo $resource->branch_status ?>" readonly>
                            </div>
                          </div>
                        </div>
                        <div class="col-12 row" style="min-width: 600px;">
                          <div class="col-4">
                            <div class="form-group">
                              <h5>Carpet area of Office</h5>
                            </div>
                          </div>
                          <div class="col-4">
                            <div class="form-group">
                              <input type="text" class="form-control" name="head_area" value="<?php echo $resource->head_area ?>" readonly>
                            </div>
                          </div>
                          <div class="col-4">
                            <div class="form-group">
                              <input type="text" class="form-control" name="branch_area" value="<?php echo $resource->branch_area ?>" readonly>
                            </div>
                          </div>
                        </div>
                        <div class="col-12 row" style="min-width: 600px;">
                          <div class="col-4">
                            <div class="form-group">
                              <h5>Infrastructure in office</h5>
                            </div>
                          </div>
                          <div class="col-4">
                            <div class="form-group">
                              <input type="text" class="form-control" name="head_infrastructure" value="<?php echo $resource->head_infrastructure ?>" readonly>
                            </div>
                          </div>
                          <div class="col-4">
                            <div class="form-group">
                              <input type="text" class="form-control" name="branch_infrastructure" value="<?php echo $resource->branch_infrastructure ?>" readonly>
                            </div>
                          </div>
                        </div>
                        <div>
                        </div>
                      </section>
                      <h3>Staff</h3>
                      <section>
                        <h4>Staff Details - NUMBERS (FT=Full time, PT=Part time)</h4><br>
                        <div class="col-12 row" style="min-width: 600px;">
                          <div class="col-2">
                          </div>
                          <div class="col-5">
                            <div class="form-group">
                              <h5>Management</h5>
                            </div>
                          </div>
                          <div class="col-5">
                            <div class="form-group">
                              <h5 style="padding-left:72x;">Non - Management</h5>
                            </div>
                          </div>
                        </div>
                        <div class="col-12 row" style="min-width: 600px;">
                          <div class="col-2">
                            <div class="form-group">
                              <h5>Permanent</h5>
                            </div>
                          </div>
                          <div class="col-5 row">
                            <div class="col-5">
                              <div class="form-group">
                                <input type="text" class="form-control" name="man_permanent" value="<?php echo $staff->man_permanent ?>" readonly>
                              </div>
                            </div>
                            <div class="col-5" >
                              <div class="form-group">
                                <input type="text" class="form-control" name="man_permanent_shift" placeholder="PT/FT" value="<?php echo $staff->man_permanent_shift ?>" readonly>
                              </div>
                            </div>
                          </div>
                          <div class="col-5 row" style="margin-left:15px;">
                            <div class="col-5">
                              <div class="form-group">
                                <input type="text" class="form-control" name="non_man_permanent" value="<?php echo $staff->non_man_permanent ?>" readonly>
                              </div>
                            </div>
                            <div class="col-5" style="padding-left:10px;">
                              <div class="form-group">
                                <input type="text" class="form-control" name="non_man_permanent_shift" placeholder="PT/FT" value="<?php echo $staff->non_man_permanent_shift ?>" readonly>
                              </div>
                            </div>
                          </div>
                        </div>
                        <div class="col-12 row" style="min-width: 600px;">
                          <div class="col-2">
                            <div class="form-group">
                              <h5>Temporary</h5>
                            </div>
                          </div>
                          <div class="col-5 row" >
                            <div class="col-5">
                              <div class="form-group">
                                <input type="text" class="form-control" name="man_temporary" value="<?php echo $staff->man_temporary ?>" readonly> 
                              </div>
                            </div>
                            <div class="col-5" >
                              <div class="form-group">
                                <input type="text" class="form-control" name="man_temporary_shift" value="<?php echo $staff->man_temporary_shift ?>" readonly>
                              </div>
                            </div>
                          </div>
                          <div class="col-5 row" style="margin-left:15px;">
                            <div class="col-5">
                              <div class="form-group">
                                <input type="text" class="form-control" name="non_man_temporary" value="<?php echo $staff->non_man_temporary ?>" readonly>
                              </div>
                            </div>
                            <div class="col-5" >
                              <div class="form-group">
                                <input type="text" class="form-control" name="non_man_temporary_shift" placeholder="PT/FT" value="<?php echo $staff->non_man_temporary_shift ?>" readonly>
                              </div>
                            </div>
                          </div>
                        </div>
                        <div class="col-12 row" style="min-width: 600px;">
                          <div class="col-2">
                            <div class="form-group">
                              <h5>Contractual</h5>
                            </div>
                          </div>
                          <div class="col-5 row" >
                            <div class="col-5">
                              <div class="form-group">
                                <input type="text" class="form-control" name="man_contractual" value="<?php echo $staff->man_contractual ?>" readonly>
                              </div>
                            </div>
                            <div class="col-5" >
                              <div class="form-group">
                                <input type="text" class="form-control" name="man_contractual_shift" placeholder="PT/FT" value="<?php echo $staff->man_contractual_shift ?>" readonly>
                              </div>
                            </div>
                          </div>
                          <div class="col-5 row" style="margin-left:15px;">
                            <div class="col-5">
                              <div class="form-group">
                                <input type="text" class="form-control" name="non_man_contractual" value="<?php echo $staff->non_man_contractual ?>" readonly>
                              </div>
                            </div>
                            <div class="col-5" style="padding-left:10px;">
                              <div class="form-group">
                                <input type="text" class="form-control" name="non_man_contractual_shift" placeholder="PT/FT" value="<?php echo $staff->non_man_contractual_shift ?>" readonly>
                              </div>
                            </div>
                         </div> 
                        </div>
                        <div class="col-12 row" style="min-width: 600px;">
                          <div class="col-2">
                            <div class="form-group">
                              <h5>Consulting</h5>
                            </div>
                          </div>
                          <div class="col-5 row" >
                            <div class="col-5">
                              <div class="form-group">
                                <input type="text" class="form-control" name="man_consulting_advisory" value="<?php echo $staff->man_consulting_advisory ?>" readonly>
                              </div>
                            </div>
                            <div class="col-5">
                              <div class="form-group"> 
                                <input type="text" class="form-control" name="man_consulting_shift" placeholder="PT/FT" value="<?php echo $staff->man_consulting_shift ?>" readonly>
                              </div>
                            </div>
                          </div>
                          <div class="col-5 row" style="margin-left:15px;">
                            <div class="col-5">
                              <div class="form-group">
                                <input type="text" class="form-control" name="non_man_consulting_advisory" value="<?php echo $staff->non_man_consulting_advisory ?>" readonly>
                              </div>
                            </div>
                            <div class="col-5" style="padding-left:10px;">
                              <div class="form-group">
                                <input type="text" class="form-control" name="non_man_consulting_shift" placeholder="PT/FT" value="<?php echo $staff->non_man_consulting_shift ?>" readonly>
                              </div>
                            </div>
                          </div>
                        </div>
                      </section>
                    </div>
                  </form>
                </div>
              </div>
            </div>
          </div>
        
        </div>
        <!-- content-wrapper ends -->
        <?php $__env->stopSection(); ?>
<?php echo $__env->make('Admin.Layout.main_layout', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?><?php /**PATH /home/opaldemo/public_html/center.iimtstudies.co.uk/resources/views/Admin/application_form.blade.php ENDPATH**/ ?>